Homeoffice ePPO Manager bei CorVel

The ePPO Manager provides leadership and direction to staff, fostering professional development, accountability, and a high-performance team. The Manager is responsible for the overall operation of the ePPO Product, contributes to implementing company best practices, sets long-term goals and objectives, analyzes costs, activities, and operational performance, while ensuring alignment with the strategic objectives of the ePPO operation and of CorVel.

This is a remote role. 

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Provides leadership for departmental operations, ensuring productivity, quality, and professional development goals align with organizational objectives
• Cultivates a high-performance team through coaching, empowerment, and regular performance evaluations, driving both individual and team success
• Oversees financial and operational performance, including profitability, budgeting, expense management, billing, collections
• Drives business development and growth initiatives through targeted marketing, client engagement
• Ensures compliance with all applicable regulatory rules, statutes and procedures
• Optimizes workflow processes and staffing levels to maintain operational excellence, and staff retention
• Develops and oversees the implementation of ePPO operational best practices that enhance efficiency, quality, and client satisfaction
• Represents the organization with professionalism and strategic insight in all internal and external relationships
• Travel and participation in company/client meetings and events are required
• Performs other strategic initiatives and projects as assigned

KNOWLEDGE & SKILLS:

• Strong leadership, management, and motivational skills
• Solid understanding of the bill review process and the laws and procedures applied prior to ePPO contract application
• Technical knowledge of laws, policies, and procedures surrounding medical bill review and network contracting compliance
• Ability to guide staff in interpreting bill review outcomes to ensure accuracy and compliance
• Proficient in EDI transmission with the ability to troubleshoot issues and collaborate with clients to resolve transmission errors
• Ability to remain composed in high-pressure situations and communicate professionally, both verbally and in writing
• Strong quantitative, analytical, and interpretive skills
• Proficiency with Microsoft Office applications, including Excel and other technical tools.

EDUCATION & EXPERIENCE:

• Minimum of 2 years’ management experience
• Deep medical billing experience, Certified Professional Coder (CPC) designation preferred
• Provider relations and network contracting experience preferred
• Bachelor's degree, national certification or a combination of education and related experience

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.  Pay rates are established taking into account the following factors:  federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $90,589 - $117,662 

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL:

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publically traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.  We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.  Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

 CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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